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Individual

ROYA T JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1507 1/4 12TH AVE, LOS ANGELES, CA 90019-4319
(323) 308-5685
Mailing address
1507 1/4 12TH AVE, LOS ANGELES, CA 90019-4319
(323) 308-5685

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/01/2014
Last updated
12/01/2014
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